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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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The Prevalence of Skilled Birth Attendant Utilization and Its Correlates in North West Ethiopia

Mulunesh Alemayehu1, Wubegzier Mekonnen2

  • 1Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia.

Biomed Research International
|October 28, 2015
PubMed

The low utilization of skilled birth attendants sustained high maternal mortality. The aim of this study was to assess its magnitude and correlates in Northwest Ethiopia. A study was conducted on 373 randomly selected women who gave birth in the 12 months preceding the survey. Correlates were identified using binary logistic regression. Skilled birth attendance was 18.8%. Inability to perform cultural practices in health facilities (65.5%), expecting smooth delivery (63.4%), and far distance (62%) were the main barriers. Women with urban residence (AOR = 5.46: 95% CI [2.21-13.49]), primary (AOR = 2.10: 95% CI [0.71-6.16]) and secondary-plus (AOR = 6.12: [1.39-26.92]) educational level, four-plus ANC visits (AOR = 17.33: 95% CI [4.22-71.29]), and proximity to health centers (AOR = 5.67: 95% CI [1.47-25.67]) had higher odds of using skilled birth attendants though women with no labor complications had lower odds (AOR = 0.02: 95% CI [0.01-0.05]). Skilled birth attendance use was low. Urban residence, primary-plus level of education, frequent ANC visits, living nearby the health centers, and a problem during labor were positively correlated with skilled birth attendance utilization. Stakeholders should enhance girls' education beyond primary level and ANC services and shorten distances to health facilities.

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